HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: Medication: obligations

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/medication-obl-eu-hdr | Version: 1.0.0-alpha
Standards status: Informative | Maturity Level: 0 | Computable Name: MedicationEuHdrObligation
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile defines obligations for the Medication resource for the purpose of this guide, adapted from the MPD work.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName | O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | CodeableConcept | Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
extension:sizeOfItem |  | 0..1 | Quantity | Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device |  | 0..* | (Complex) | Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic |  | 0..* | (Complex) | Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation |  | 0..1 | CodeableConcept | Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName | O | 0..1 | MedicationProductName | Medication - Product Name
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | MedicationClassification | Medication - Classification
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
identifier | O | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O | 0..1 | CodeableConcept | A terminology-based code for the product
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
ingredient |  |  |  |
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
isActive | O | 0..1 | boolean | Active ingredient flag
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:productName | O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | CodeableConcept | Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
extension:sizeOfItem |  | 0..1 | Quantity | Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device |  | 0..* | (Complex) | Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic |  | 0..* | (Complex) | Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation |  | 0..1 | CodeableConcept | Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | Dose Form Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (HDR)) | The actual ingredient or content
isActive | O | 0..1 | boolean | Active ingredient flag
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:strengthSubstance |  | 0..1 | CodeableConcept | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator | Σ | 0..1 | Quantity | Numerator value
denominator | Σ | 0..1 | Quantity | Denominator value
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationEuHdr

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName | O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | CodeableConcept | Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
extension:sizeOfItem |  | 0..1 | Quantity | Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device |  | 0..* | (Complex) | Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic |  | 0..* | (Complex) | Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation |  | 0..1 | CodeableConcept | Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from MedicationEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
Slices for extension |  |  |  | Content/Rules for all slices
extension:productName | O | 0..1 | MedicationProductName | Medication - Product Name
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | MedicationClassification | Medication - Classification
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
identifier | O | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O | 0..1 | CodeableConcept | A terminology-based code for the product
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
ingredient |  |  |  |
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
isActive | O | 0..1 | boolean | Active ingredient flag
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | MedicationEuHdr | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:productName | O | 0..1 | string | Medication - Product Name URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
extension:classification | O | 0..* | CodeableConcept | Medication - Classification URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: ProductClassification (example)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
extension:sizeOfItem |  | 0..1 | Quantity | Size of one item (for example, in a pack of 5 vials, this would represent the size of 1 vial) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
extension:device |  | 0..* | (Complex) | Device, typically an administration device, included in the product. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-device
extension:characteristic |  | 0..* | (Complex) | Specifies other descriptive properties of the medication. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation |  | 0..1 | CodeableConcept | Unit of presentation of the product (e.g. tablet, vial, ampoule, etc) URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: UnitOfPresentation (example)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 0..* | Identifier | Identifier for the medicinal product, its generic representation, or packaged product.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
code | O Σ | 0..1 | CodeableConcept | A terminology-based code for the product Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | Dose Form Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Ingredient or a part product. For combination packs, each ingredient can be a separate manufactured item with its own ingredients, dose form, and strength
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication (HDR)) | The actual ingredient or content
isActive | O | 0..1 | boolean | Active ingredient flag
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
strength | O | 0..1 | Ratio | Amount of substance in product (presentation or concentration strength)
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:strengthSubstance |  | 0..1 | CodeableConcept | Substance for which the strength is provided (this could be different from the precise active ingredient). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: SNOMEDCTSubstanceCodes (example)
numerator | Σ | 0..1 | Quantity | Numerator value
denominator | Σ | 0..1 | Quantity | Denominator value
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationEuHdr

Summary

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